Book an appointment Next StepOnce you have booked for your appointment, please fill out the consultation form below. Thank you! Open Form Consultation Form To ensure your well-being and for their records, your therapist requires clients to complete and sign this form before proceeding with massage treatment. The following information will help your therapist to plan a safe and effective treatment. Please answer the questions to the best of your knowledge. Thank you for your understanding. First Name Last Name Have you had a professional massage treatment before? * Yes No Is there a specific area of the body where you are experiencing tension, stiffness or discomfort? * Yes No - If yes, please specify Do you have any allergies to any oils or creams? * Yes No - If yes, please specify Have you had any previous surgeries, fractures or major accidents? * Yes No - If yes, please describe below: Are you pregnant? * Yes No - If yes, how many weeks/months? Do you have any medical conditions, or are currently taking any medications? * Yes No - If yes, please describe below: Have you had any recent muscular/joint injuries? * Yes No - If yes, please describe below: Client Wavier - Please read each of the following statements to confirm understanding and acceptance: * 1. I understand that the Services offered are not a substitute for medical care and that prior to the booking, I have informed the therapist of all known medical conditions and/or injuries. 2. I understand that the treatment will be provided for the purpose of assisting with the relief of muscular tension and relaxation. If I experience any discomfort or pain during the treatment, I will inform the therapist so that the level of pressure or technique can be adjusted. 3. I acknowledge and understand that massage therapists are not qualified to diagnose or treat any medical conditions and/or injuries. I understand that I should consult with the relevant professional for diagnoses or treatment of any particular physical or mental condition that I’m aware of. * Thank you for submitting your details!